Post‐ERCP pancreatitis · people with biliary cannulation for the prevention of post‐ERCP pancreatitis
Pancreatic duct guidewire (PGW) or double guidewire technique (DGT) may leads to higher post‐ERCP pancreatitis compared with other endoscopic techniques (low certainty).
1 finding from 1 review
CBD cannulation success with the randomised technique (before the use of rescue techniques) · people with biliary cannulation for the prevention of post‐ERCP pancreatitis
Pancreatic duct guidewire (PGW) or double guidewire technique (DGT) showed no clear difference in CBD cannulation success with the randomised technique (before the… compared with other endoscopic techniques (low certainty).
1 finding from 1 review
Overall success of cannulation · people with biliary cannulation for the prevention of post‐ERCP pancreatitis
Pancreatic duct guidewire (PGW) or double guidewire technique (DGT) showed no clear difference in overall cannulation success compared with other endoscopic techniques (low certainty).
1 finding from 1 review
Post‐ERCP bleeding · people with biliary cannulation for the prevention of post‐ERCP pancreatitis
Pancreatic duct guidewire (PGW) or double guidewire technique (DGT) showed no clear difference in post‐ERCP bleeding compared with other endoscopic techniques (low certainty).
1 finding from 1 review
Post‐ERCP perforation · people with biliary cannulation for the prevention of post‐ERCP pancreatitis
Pancreatic duct guidewire (PGW) or double guidewire technique (DGT) showed no clear difference in post‐ERCP perforation compared with other endoscopic techniques (low certainty).
1 finding from 1 review
Post‐ERCP cholangitis · people with biliary cannulation for the prevention of post‐ERCP pancreatitis
Pancreatic duct guidewire (PGW) or double guidewire technique (DGT) showed no clear difference in post‐ERCP cholangitis compared with other endoscopic techniques (low certainty).
1 finding from 1 review
All‐cause mortality · people with biliary cannulation for the prevention of post‐ERCP pancreatitis
Pancreatic duct guidewire (PGW) or double guidewire technique (DGT) showed no clear difference in mortality compared with other endoscopic techniques (low certainty).
1 finding from 1 review
Recurrent and persistent bleeding overall rates with or without second‐look endoscopy Rebleeding (persistent or recurrent bleeding) · patients with high‐risk bleeding ulcers
Epinephrine probably leads to lower recurrent and persistent bleeding overall rates with or without… compared with epinephrine and any second endoscopic method (moderate certainty).
1 finding from 1 review
Surgery rate Number requiring emergency surgery · patients with high‐risk bleeding ulcers
Epinephrine probably leads to lower surgery rate Number requiring emergency surgery compared with epinephrine and any second endoscopic method (moderate certainty).
1 finding from 1 review
Mortality rate Number of deaths (30‐day mortality or in‐hospital mortality) · patients with high‐risk bleeding ulcers
Epinephrine probably leads to lower mortality rate Number of deaths (30‐day mortality or in‐hospital… compared with epinephrine and any second endoscopic method (moderate certainty).
1 finding from 1 review
Adverse effects of endoscopy therapy Adverse effects · patients with high‐risk bleeding ulcers
Epinephrine probably leads to higher adverse effects of endoscopy therapy Adverse effects compared with epinephrine and any second endoscopic method (moderate certainty).
1 finding from 1 review
Post‐ERCP pancreatitis · Patients undergoing diagnostic or therapeutic ERCP
Guidewire‐assisted cannulation probably leads to lower post‐ERCP pancreatitis (PEP) compared with contrast‐assisted cannulation (moderate certainty).
1 finding from 1 review
Primary cannulation success · Patients undergoing diagnostic or therapeutic ERCP
Guidewire‐assisted cannulation may leads to higher primary cannulation success compared with contrast‐assisted cannulation (low certainty).
1 finding from 1 review
Overall success of cannulation · Patients undergoing diagnostic or therapeutic ERCP
Guidewire‐assisted cannulation showed no clear difference in overall cannulation success compared with contrast‐assisted cannulation (moderate certainty).
1 finding from 1 review
Need for precut sphincterotomy · Patients undergoing diagnostic or therapeutic ERCP
Guidewire‐assisted cannulation probably leads to lower need for precut sphincterotomy compared with contrast‐assisted cannulation (moderate certainty).
1 finding from 1 review
Post‐sphincterotomy bleeding · Patients undergoing diagnostic or therapeutic ERCP
Guidewire‐assisted cannulation showed no clear difference in post‐sphincterotomy bleeding compared with contrast‐assisted cannulation (low certainty).
1 finding from 1 review
Perforation · Patients undergoing diagnostic or therapeutic ERCP
It is very uncertain whether guidewire‐assisted cannulation changes perforation compared with contrast‐assisted cannulation (very low certainty).
1 finding from 1 review
All‐cause mortality · Patients undergoing diagnostic or therapeutic ERCP
1 finding from 1 review
Relief of pain · participants with painful obstructive chronic pancreatitis
Endoscopy probably leads to higher pain relief ‐ middle‐term compared with surgery (moderate certainty).
2 findings from 1 review
Mortality ‐ not reported · participants with painful obstructive chronic pancreatitis
The review found no eligible studies for this question.
1 finding from 1 review
no estimate extracted
Studies not reported
No studies found